CMS Operations During the Federal Government Shutdown

What Continues During the Shutdown Medicare Program – Benefits and core program operations continue without interruption. Medicaid – CMS has funding to support state Medicaid programs for the first quarter of FY 2026 through previously approved appropriations. Children’s Health Insurance Program (CHIP) – Payments to eligible states will continue. Health Care Fraud and Abuse Control …

Tell Congress:

Support Bipartisan Medicare Physician Reimbursement Reforms! The ACG is a sponsoring organization of the latest bipartisan effort in the House of Representatives to reverse the proposed 2.8% cut to Medicare physician reimbursement and provide physicians with a payment update that reflects inflationary pressures.  For More Information Click Here! “References / Credit” ACG American College of …

ASC Proposed Rule for 2023

CMS is proposing actions to advance health equity and improve access to care in rural communities by establishing policies for Rural Emergency Hospitals (REH) and providing for payment for certain behavioral health services furnished via communications technology. Additionally, in line with President Biden’s Executive Order on Promoting Competition in the American Economy, the calendar year …

Medicare Promoting Interoperability Program Scoring Methodology for 2022

In the Fiscal Year (FY) 2022 Medicare Hospital Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals and the Long-term Care Hospital (LTCH) Prospective Payment System Final Rule, the Centers for Medicare & Medicaid Service (CMS) continued to implement a performance-based scoring methodology for eligible hospitals and critical access hospitals (CAHs) that attest to CMS …

2021 MIPS Final Score Preview Now Available

The Centers for Medicare & Medicaid Services (CMS) has opened the Final Score Preview period for the Merit-based Incentive Payment System (MIPS). Authorized representatives of practices, virtual groups, and Alternative Payment Model (APM) Entities can now sign into the Quality Payment Program (QPP) website to preview 2021 MIPS final scores. The MIPS Final Score Preview …